MX Masters of Dirt Entry – AMC Promotions

Riders First Name *

Riders Last Name *

Street Address *

Town/City *

Post Code *

Email Address *

Phone *

Date of Birth *

Is the rider under the age of 18? *YesNoIf you click on yes you must complete the parent consent section

Parent/Guardian Name

Street Address

Town/City

Post Code

Race Number *Race numbers will be confirmed in your confirmation email

Day Licence - Do you require a Nora day licence? By ticking this box you are confirming that the rider or in the case of riders under the age of 18, the parent/legal guardian who has completed the application has read and understood the terms associated with the purchase of a One Event Nora Day Licence and that £15.00 will be added to your application total for this. *YesNo

Nora Licence NumberEnter your Nora licence number here if you hold one

Transponder - Do you need to hire a transponder? Please note a £15 charge will be taken for hiring a transponder. *YesNo

Transponder NumberEnter your transponder number here

Bike *

Capacity *

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